Question

A 52-year-old woman presents with weight gain, coarse hair, constipation and tiredness. TSH is raised and free T4 is low, confirming primary hypothyroidism. What is the most appropriate initial treatment?

Accepted Answer

Start Levothyroxine 50–100 micrograms once daily, adjusting dose according to TSH

Answer

Start Levothyroxine 25 micrograms once daily and review in 1 year

Answer

Start Liothyronine

Answer

Start Carbimazole

Answer

Observe without treatment

Practice question

A 52-year-old woman presents with weight gain, coarse hair, constipation and tiredness. TSH is raised and free T4 is low, confirming primary hypothyroidism. What is the most appropriate initial treatment?